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Flashcards in Substance abuse and mental health Deck (18):
1

What percentage of people with anxiety/affective disorders have a substance abuse problem?

25%

2

What percentage of psychiatric inpatients have a current or previous addiction?

64%

3

Around ____% of males with schizophrenia have a co-existing substance addiction.

90%

4

List some characteristics that patients with dual diagnosis are likely to have.

  • Socially alienated from family and friends 
  • Won't cooperate with health care providers 
  • Very emotional 
  • Homeless or frequently moving 
  • Hospitalised/attends ED regularly 

5

Why is diagnosis/management of people with dual diagnosis complicated?

It isn't always clear which problem is causing the most severe symptoms.

6

What kind of programs do researchers say are beneficial for people with dual diagnosis?

Integrated programs that address both their mental illness and their substance abuse.

7

List some commonly abused substances.

  • EtOH
  • Tobacco
  • Cannabis
  • Benzodiazepines
  • Amphetamines
  • Heroin
  • Inhalants 

8

List some issues commonly caused by prolonged EtOH use.

  • Problems in relationships
  • Disturbing thoughts 
  • Aggression and violence 
  • Physical health problems 
  • Paranoia
  • Loss of confidence 

9

List some issues commonly caused by cannabis use.

  • Can significantly increase paranoia 
  • Diminishes ability to think clearly and solve problems
  • Affects memory
  • Increases risk of hallucinations
  • May exacerbate depression
  • Reduces volition and pleasure in normal activities
  • Increases risk of panic/anxiety attacks
  • Interferes with metabolism of other drugs

10

Name some commonly used benzodiazepines.

  • Temazepam
  • Diazepam
  • Oxazepam
  • Alprazolam
  • Nitrazepam

11

True or false: benzodiazepines are generally safe and effective in the short term.

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12

What can occur with benzodiazepine use, particularly in high dose ranges?

  • Cognitive impairments 
  • Paradoxical effects 
    • Aggression 
    • Behavioural disinhibition

13

What is the danger of long-term benzadiazepine use?

Tolerance

14

True or false: amphetamine use by pts with a mental illness can excerbate mental health symptoms.

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15

Some some possible effects of amphetamine use.

  • Mental health exacerbations
  • Depression
  • Paranoia
  • Drug-induced psychosis characterised by delusions and hallucinations 
  • Brain damage in prolonged use or overdose
  • Interferes with metabolism of other drugs

16

List some commonly abused opiates.

  • Heroin
  • Methadone
  • Morphine
  • Pethidine
  • Codeine

17

List some possible effects of opiate use.

  • Exacerbates anxiety and depression
  • Feelings of disorganisation/out of control
  • Interferes with other psychotrophic drugs
  • Exacerbates hallucinations and delusional beliefs 
  • Increased chance of overdose and death

18

List some possible effects of inhalants.

  • Hallucinations
  • Paranoia 
  • Confusion
  • Memory disturbance
  • Depression
  • Anxiety/panic attacks 
  • Loss of awareness (person, place, and time)